Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09418 | Date 01/04/2021 |
| Token No | SM/21-22/27 01/04/2021 | Serial | 027 Last Visit: 04/11/2024 |
| Patient Name | Mr. GOUTAM SOM | Contact No | 9433104407 |
| Address | 19, DHARMATALA LANE,SERAMPORE | Age | 66 Years,10 Months,3 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||